| Robert Fortman, RN | |
|
1241 Shawhan Rd, Morrow, OH 45152-9695 | |
| (513) 865-5204 | |
| Not Available |
| Full Name | Robert Fortman |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 21 Years |
| Location | 1241 Shawhan Rd, Morrow, Ohio |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568460574 | NPI | - | NPPES |
| 000000553250 | Other | ANTHEM | |
| 2001032200 | Medicaid | IN | |
| 74009903 | Medicaid | KY | |
| 2544769 | Medicaid | OH | |
| 617574 | Other | KY | WELLCARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 072814 (Ohio) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Community Physicians Of Indiana Inc | 1759416662 | 1386 |
| Entity Name | Community Physicians Of Indiana Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619105244 PECOS PAC ID: 1759416662 Enrollment ID: O20100317000717 |
| Entity Name | Iceland Anesthesia Management Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912578667 PECOS PAC ID: 7618372996 Enrollment ID: O20210825000860 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Fortman, RN Po Box 632572, Cincinnati, OH 45263-2572 Ph: (513) 891-0022 | Robert Fortman, RN 1241 Shawhan Rd, Morrow, OH 45152-9695 Ph: (513) 865-5204 |
Lynette Kroner Pfaff, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1241 Shawhan Rd, Morrow, OH 45152 Phone: 513-865-5204 | |
Sharyn Rebel, RN Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1241 Shawhan Rd, Morrow, OH 45152 Phone: 513-865-5204 | |
Kevin Baldasare, RN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1241 Shawhan Rd, Morrow, OH 45152 Phone: 513-865-5204 Fax: 513-672-3323 | |
Ryan Rivard, RN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1241 Shawhan Rd, Morrow, OH 45152 Phone: 513-865-5204 | |
Alison Kuntz, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1241 Shawhan Rd, Morrow, OH 45152 Phone: 513-865-5204 | |
Jaclyn M Borchers, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1241 Shawhan Rd, Morrow, OH 45152 Phone: 513-865-5204 | |
Courtney Rosensweet, RN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1241 Shawhan Rd, Morrow, OH 45152 Phone: 513-865-5204 |